@layout("/common/_form.html",{js:["/assets/modular/web/cumulaDay/cumulaDay_add.js"],css:["/assets/common/module/formSelects/formSelects-v4.css"]}){

<form class="layui-form" id="cumulaDayForm" lay-filter="cumulaDayForm">
    <div class="layui-fluid" style="padding-bottom: 75px;">
        <div class="layui-card">
            <div class="layui-card-header">连续打卡天数信息</div>
            <div class="layui-card-body">
                <div class="layui-form-item layui-row">
                    <input id="cumulaDayId" name="id" value="${cumulaDayId}" type="hidden"/>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">连续天数<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input id="dayNum" name="dayNum" placeholder="请输入连续天数" type="number" class="layui-input" lay-verify="required|numver" lay-reqtext="连续天数不能为空"/>
                        </div>
                    </div>
                    <div class="layui-inline layui-col-md12">
                        <label class="layui-form-label">金币值<span style="color: red;">*</span></label>
                        <div class="layui-input-block">
                            <input name="goldNum" placeholder="请输入金币值" type="number" class="layui-input" lay-verify="required|numver" lay-reqtext="金币值不能为空"/>
                        </div>
                    </div>
                </div>
            </div>
        </div>
    </div>
    <div class="form-group-bottom text-center">
        <button class="layui-btn" lay-filter="btnSubmit" lay-submit>&emsp;提交&emsp;</button>
        <button type="reset" class="layui-btn layui-btn-primary" ew-event="closeDialog">&emsp;取消&emsp;</button>
    </div>
</form>
@}
